Organization
POWELL DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BLAIR D.M.D (DENTIST)
(503) 777-5544
Entity
Organization
Contact information
Practice address
3435 SE 75TH AVE, PORTLAND, OR 97206-2407
(503) 777-5544
(503) 777-0460
Mailing address
3435 SE 75TH AVE, PORTLAND, OR 97206-2407
(503) 777-5544
(503) 777-0460
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7887
OR
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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